Single‐room maternity care: Systematic review and narrative synthesis

Ali, Elena; Norris, Jill M.; Hall, Marc; White, Deborah

doi:10.1002/nop2.586

Cited by 10 publications

(9 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Having privacy and their partner's presence was essential for mothers in order to create a family. Mothers mentioned the importance of having a single room, which was also appreciated in another study reporting higher care satisfaction when in a single room ( 55 ). Mothers in our study reported the partner's presence as important to co-construct their parenting together.…”

Section: Discussionmentioning

confidence: 74%

Social support needs of first-time parents in the early-postpartum period: A qualitative study

et al. 2022

View full text Add to dashboard Cite

BackgroundThe early postpartum period is a critical time for first-time parents as they adapt to their new role. Perceived lack of social support is a risk factor for developing mental health problems. Insufficient or inappropriate professional support for both parents has been reported by many studies. Social support that appropriately meets parents' needs is an important protective factor for parents' wellbeing; however, little is known about the social support needs of both first-time parents.Aims and objectivesTo describe both first-time parents' formal social support needs in the early postpartum period.MethodIndividual semi-structured interviews were conducted with first-time parents recruited on the postpartum ward of a Swiss university hospital. Thematic analysis was used to identify themes and sub-themes.ResultsFifteen mothers and eleven fathers were interviewed. Twelve themes were identified. Mothers' themes were “experiencing postpartum changes,” “creation of a family unit,” “self-esteem,” “emotional needs,” “difficulty in communicating their needs,” and “the postpartum stay.” Fathers' themes were “to be included in care procedures on the postpartum ward,” “to be reassured,” “to anticipate their postpartum stay” and “to consider their need as non-priority.” Parental shared needs were: “to care for their newborn,” and “returning home.”ConclusionMothers' and fathers' needs differed. Mothers needed more emotional support than fathers and fathers considered themselves as the main support for their partner. Fathers wanted to be integrated in the care of their newborn.

show abstract

Section: Discussionmentioning

confidence: 74%

Social support needs of first-time parents in the early-postpartum period: A qualitative study

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Our synthesis approach for objective 1 to a greater part will take the form of a narrative synthesis [56,57]. Other studies have been found to use a similar method [58][59][60][61]. This will help maintain the contextual nature of the different mass testing options that will emanate from the literature.…”

Section: Synthesis Proceduresmentioning

confidence: 99%

A Metasynthesis and Meta-analysis of the Impact and Diagnostic Safety of COVID-19 Symptom Agnostic Rapid Testing in Low- and Middle-Income Countries: Protocol for a Systematic Review

Mbwogge¹,

Kumar²,

Abhishek³

2023

JMIR Res Protoc

View full text Add to dashboard Cite

Background Amid all public health measures to contain COVID-19, the most challenging has been how to break the transmission chain. This has been even more challenging in low- and middle-income countries (LMICs). A public health emergency warrants a public health perspective, which comes down to prevention. Rapid mass testing has been advocated throughout the pandemic as a way to promptly deal with asymptomatic infections, but its usefulness in LMICs is yet to be fully understood. Objective The study objectives of this paper are to (1) investigate the impact of the different rapid mass testing options for SARS-CoV-2 that have been delivered at point of care in LMICs and (2) evaluate the diagnostic safety (accuracy) of rapid mass testing for SARS-CoV-2 in LMICs. Methods This review will systematically search records in PubMed, EBSCOhost, Cochrane library, Global Index Medicus COVID-19 Register, and Scopus. Records will be managed using Mendeley reference manager and SWIFT-Review. Risk of bias for randomized controlled trials will be assessed using the RoB 2 assessment tool, while nonrandomized interventions will be assessed using the tool developed by the Evidence Project. A narrative approach will be used to synthesize data under the first objective, and either a meta-analysis or synthesis without meta-analysis for the second objective. Tables, figures, and textual descriptions will be used to present findings. The overall body of evidence for the first objective will be assessed using the Grading of Recommendations Assessment, Development, and Evaluation–Confidence in the Evidence from Reviews of Qualitative research (GRADE-CERQual) approach, and for the second objective using GRADE. Results The screening of records has been finalized. We hope to finalize the synthesis by the end of February 2023 and to prepare the manuscript for publication by April 2023. The study will be reported in accordance with standard guidelines for the reporting of systematic reviews. Review results will be disseminated through conferences and their peer-reviewed publication in a relevant journal. Conclusions This review highlights the role of a preventive approach in infection control using rapid mass testing. It also flags the overriding need to involve users and providers in the evaluation of such tests in the settings for which they are intended. This will be the first review to the best of our knowledge to generate both qualitative and quantitative evidence regarding rapid mass testing specific to LMICs. Trial Registration PROSPERO CRD42022283776; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=283776 International Registered Report Identifier (IRRID) PRR1-10.2196/41132

show abstract

“…This data may not reflect the experiences in other locations. Despite these limitations, this study addresses important gaps in the literature, including the examination of readiness for discharge, calculations of effect size, multivariate statistical analysis in modelling predictors, and the inclusion of covariates, all of which have been very limited or are not discussed at all in the existing literature (Ali et al, 2020).…”

Section: Limitationsmentioning

confidence: 99%

“…The intrapartum and postpartum units have their own separate staff since nurses specialize in one type of maternity care (Stolte et al, 1994). One study of SRMC found that nurses described practices as relational and patient-centered where teaching, care, and support of families was apparent in every stage of the childbirth process (Ali et al, 2019). In contrast, in a study comparing SRMC and TMC units, providers described TMC as having a fragmentation of care and breakdown in communication and discharge planning (Hall et al, 2019).…”

Section: Background and Purposementioning

confidence: 99%

See 1 more Smart Citation

Single Room Maternity Care Versus Traditional Maternity Care: A Cross-Sectional Study Examining Differences in Mothers’ Perceptions of Readiness for Discharge and Satisfaction and Health Outcomes

2023

Self Cite

View full text Add to dashboard Cite

Background Single room maternity care (SRMC) includes all aspects of the birth process (labour, delivery, postpartum) in a single room with a consistent team of healthcare providers. Traditional maternity care (TMC) involves having mothers labouring and delivering their baby in one room and then transferring to a room on another unit, which also means a transition in providers. Although many hospitals have transitioned to SRMC, there has been limited evidence to support their development. Methods This study was conducted in two large hospitals (one offering SRMC, the other TMC) in Western Canada. A cross-sectional between-subjects design was used to compare differences between SRMC and TMC. New mothers were asked to complete validated questionnaires. Health information was collected from administrative and health databases. The main outcomes included readiness for hospital discharge, mothers’ satisfaction, newborn length of stay, and mother length of stay. Several covariates were examined. Results In total, 506 (292 SRMC; 214 TMC) mothers participated. Readiness for discharge and maternal satisfaction were significantly higher in SRMC. Although newborn and mother length of stay were significantly reduced in SRMC compared to TMC for univariate tests, mother length of stay was not significantly different when adjusting for other variables. Conclusions There are positive health and psychosocial outcomes for mothers and newborns in the SRMC model of care compared to TMC. Since readiness for discharge and satisfaction are associated with positive maternal-infant interactions and transitions to community, SRMC could be the better approach. Further research should examine healthcare provider outcomes and implementation costs.

show abstract

Single‐room maternity care: Systematic review and narrative synthesis

Abstract: Single-room maternity care (SRMC)-also known as labour-delivery-recovery-postpartum (LDRP) care-was developed as an alternative to the traditional labour and delivery suites during the family-centred care movement, which promoted birth as a normal family process (

Cited by 10 publications

References 25 publications

Social support needs of first-time parents in the early-postpartum period: A qualitative study

Social support needs of first-time parents in the early-postpartum period: A qualitative study

A Metasynthesis and Meta-analysis of the Impact and Diagnostic Safety of COVID-19 Symptom Agnostic Rapid Testing in Low- and Middle-Income Countries: Protocol for a Systematic Review

Single Room Maternity Care Versus Traditional Maternity Care: A Cross-Sectional Study Examining Differences in Mothers’ Perceptions of Readiness for Discharge and Satisfaction and Health Outcomes

Contact Info

Product

Resources

About